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Am. J. Trop. Med. Hyg., 48(2), 1993, pp. 198-204
Copyright © 1993 by The American Society of Tropical Medicine and Hygiene

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A Sensitive Serodiagnostic Test for Onchocerciasis Using a Cocktail of Recombinant Antigens

J. E. Bradley, K. R. Trenholme, A. J. Gillespie, R. Guderian, V. Titanji, Y. Hong AND L. McReynolds
Department of Biology, Imperial College of Science, Technology, and Medicine, London, United Kingdom; Hospital Vozandes, Quito, Ecuador; Department of Biochemistry, University of Yaounde, Yaounde, Cameroon; New England Biolabs, Beverly, Massachusetts

A specific serodiagnostic test for onchocerciasis has been a priority objective of the World Health Organization. Fragments of cDNA encoding Onchocerca volvulus antigens selected on the basis of their specificity for this parasite were subcloned into a protein purification and expression system. No individual recombinant antigen showed a high sensitivity in an enzyme-linked immunosorbent assay because of heterogeneity in the response of O. volvulus-infected individuals. However, a cocktail of three recombinant proteins showed 96% sensitivity with 100% specificity, compared with 99% sensitivity and only 59% specificity against a crude O. volvulus extract. The sensitivity of detection of individual antigens varied between sera taken from individuals from different geographic areas infected with O. volvulus, but when used as a cocktail, all but one of the microfilariapositive individuals from all the geographic areas studied were detected. Recombinant probes provide a practical basis for specific diagnostic tests for helminth infections.




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Copyright © 1993 by the American Society of Tropical Medicine and Hygiene.